CVS Health

Manager

• Own data storytelling: convert analytical outputs into actionable insight narratives
• Champion Customer Truths: highlight patterns, risks, and opportunities and recommend concrete next steps.
• Self‑serve data pulls: write SQL to source, join, and aggregate data; create trusted datasets for visualization and readouts.
• Lead visualization & readouts: design executive‑ready dashboards and presentations; select the right visual for the decision; simplify complexity without losing signal.
• Drive decisions, not just decks: facilitate insight reviews that end with clear recommendations, decision logs, and follow‑through on actions and owners.
• Partner cross‑functionally: collaborate with marketing, merchandising, product, and finance leaders to frame hypotheses, align metrics, and close the loop with outcomes.
• The reviewing of key performance metrics and engagement trends via Power BI dashboards and proactively investigate anomalies.
• Aligning with cross-functional teams (e.g., Loyalty, Merchandising, Pricing) on priorities and over-arching data needs.
• Writing and optimizing SQL queries across Snowflake data sources to extract offer performance, customer behavior, and segmentation insights.
• Building and refining Power BI dashboards to democratize access to strategic insights across the organization.
• Translating complex analytics into clear, compelling visual narratives that support decision-making.
• Presenting findings to stakeholders, highlighting actionable insights and strategic recommendations.
• Spearheading a customer business insight request: Structuring and pressure-testing analytical insights to provide a comprehensive point of view on what’s happening and why.
• Identifying anomalous data that could impact the accuracy of analyses.

Senior Manager, Analytics Offer Strategy

Product Analyst

• Ensure product teams can measure the success of features through development of actionable reporting across the website and app.
• Partner with product teams to understand feature value, success metrics, and leading indicators.
• Translate the Portfolio value and success metrics into tag specification documents and ensure tags are ready for reporting.
• Leverage analytics tools to collect and analyze data from websites, mobile apps, and other channels.
• Provide insights and recommendations to enhance the user experience and drive better member engagement.
• Collaborate with partners to synthesize reporting and analysis to support product optimization.
• Communicate insights to non-technical stakeholders effectively.
• Conduct user journey analysis and evaluate website or mobile app usability.
• Collaborate on data governance initiatives to ensure data accuracy.

Portfolio Product Analyst

Analyst

• Designs, implements, and evaluates health promotion programs and initiatives
• Develops educational materials, delivers presentations, facilitates workshops, and provides one-on-one counseling to promote healthy behaviors and enhance well-being
• Applies expertise in health education principles, behavior change theories, and community outreach to empower individuals and communities to make informed decisions and adopt healthy lifestyles

Analyst, Health Coach

Full-stack Engineer

• Architect and deliver enterprise AI platform capabilities including workflow orchestration engines, multi-provider LLM integration, and automated deployment pipelines that enable healthcare teams to build and deploy AI applications at scale
• Design multi-tenant infrastructure with automated provisioning, namespace isolation, and role-based access control to support secure, per-team dedicated environments across the platform
• Build backend services and APIs for workflow authoring, execution orchestration, and platform observability using cloud-native patterns on Kubernetes infrastructure
• Implement production observability and reliability practices including distributed tracing, performance monitoring, and incident response for platform health and cost management
• Drive technical architecture decisions across the platform, mentor engineers on design patterns, security best practices, and operational excellence
• Partner with business stakeholders, product teams, and engineering leadership to align platform roadmap with healthcare automation objectives and adoption strategy
• Champion security posture including secrets management, audit logging, compliance requirements, and production readiness standards

Staff Software Development Engineer

Ecommerce

• Serve as the primary point of contact for Medicare stakeholders across business, product, technology, operations, and member experience teams
• Partner across-functionally to develop a best in class and consistent digital experience.
• Build trusted, collaborative relationships to align priorities, expectations, and timelines.
• Define the unique needs and digital impacts for the Senior population.
• Understand the Senior population digital trends leveraging competitive intel, usage trends and market data.
• Navigate an environment that is ambiguous and at times, uncertain while learning on the fly will set you up for success.
• Evaluate current product state to identify opportunities through product analysis, digital data and stakeholder conversations.
• Translate member pain points, data insights, and business goals into clear strategic recommendations and design decisions
• Leverage basic technical knowledge (e.g., digital platforms, data flows, integrations, agile delivery) to inform decisions and remove friction
• Proven record of constructing and executing complex analyses to meet business needs.
• Coordinate and lead Medicare specific demos for key stakeholders.
• Ensure monthly results and roadmap are in a constant state of readiness to share with BU partners, Enterprise leaders, marketing teams and other key stakeholders.
• Review and align the rolling 4 quarter roadmaps with product leaders, in preparation for monthly product review meetings.
• Lead a cross-functional team to create and execute on product plans, coordination of market and product research, and management of relationships with strategic partners and key internal stakeholders.
• Establish and oversee the plans, monitoring and organizational approach between business units that result in consistently great products.
• Hold teams accountable to building the product, on-schedule and communicating status/risks appropriately.

Medicare Digital Experience Lead

Financial Planning and Analysis

• Build strong relationships with finance teams to understand their processes and needs.
• Maintain and improve data models used for budgeting and forecasting.
• Ensure tools can handle large data sets efficiently.
• Create better system connections to reduce duplicate data.
• Improve data accuracy and quality.
• Own and support finance systems, working with business partners and IT to solve problems.
• Lead agile development efforts and adjust as business needs change.

Manager, Finance Transformation

Data Scientist

• Engage business stakeholders to define a solution fitting into the business process
• Analyze large amounts of data to evaluate competitive cost positioning
• Implement models, develop tools and algorithms to augment processes related to Claims, Appeals and Grievances ecosystem
• Leverage analytics to drive efficiency and automation
• Identify and size opportunities for analytics to improve efficiency and increase automation in claim adjudication, and claim rework
• Develop, validate and execute algorithms and predictive models to investigate problems, detect patterns and recommend solutions
• Explore, examine and interpret large volumes of data in various forms
• Perform analyses of structured and unstructured data to solve moderately complex business problems
• Utilize advanced statistical techniques and mathematical analyses develops data structures and pipelines to organize, collect and standardize data that helps generate insights and addresses reporting needs
• Use data visualization techniques to effectively communicate analytical results and support business decisions
• Create and evaluate the data needs of assigned projects and assure the integrity of the data
• Explore existing data and recommend additional sources of data for improvements
• Document projects including business objectives, data gathering and processing, detailed set of results and analytical metrics
• Build solutions that help with tracking of operational processes and policies and identify opportunities for improvements

• Manage financial transactions and reconcile accounts
• Prepare financial reports and ensure compliance with financial policies and regulations
• Develop complex budget insights based on historical data and market trends
• Communicate internally and externally for accurate financial reports
• Conduct routine cost analysis for cost-saving opportunities
• Identify opportunities for streamlining financial workflows and automating processes
• Examine data related to claims, denials, and collections to optimize revenue generation
• Implement financial modeling for strategic initiatives

Senior Analyst, Financial Operations

• Provide technical leadership and oversight for production support activities performed by the managed service provider.
• Ensure the vendor executes timely and effective triage, investigation, and issue resolution.
• Hold the vendor accountable for meeting SLAs, SLOs, KPIs, and operational commitments.
• Review vendor performance reports and address gaps in responsiveness, quality, or timeliness.
• Ensure escalation paths are followed appropriately by the vendor team.
• Oversee the vendor’s handling of production incidents, degradations, and outages.
• Ensure proper incident lifecycle management: detection, prioritization, resolution, communication, and closure.
• Participate in major incident bridges to evaluate vendor performance and escalate where needed.
• Ensure timely and accurate RCA (Root Cause Analysis) is delivered by the vendor and that follow up actions are completed.
• Establish and maintain best practice operational standards, documentation, and runbooks for the vendor to follow.
• Validate that monitoring, alerting, logging, and operational tooling are used effectively by the vendor.
• Identify recurring issues and ensure the vendor drives permanent fixes.
• Promote continuous improvement across operational processes, tooling, and readiness.
• Serve as the senior technical point of contact for production support escalations from the vendor.
• Evaluate system architecture, logs, and telemetry to validate vendor RCA quality and technical soundness.
• Review proposed fixes, enhancements, and operational procedures for technical completeness.
• Mentor internal team members on production support best practices and vendor management.
• Own and report operational metrics, SLA/SLO performance, and issue trends to leadership.
• Lead internal reviews of vendor performance, including adherence to contractual KPIs.
• Ensure operational risks are identified, communicated, and actively managed.
• Support continuous improvement initiatives aimed at reducing incidents and increasing system stability.

Senior Manager – Software Development Engineering

Medical Director

• Serve as the liaison between data analytics/reporting teams and the clinical leadership team
• Identify trends in population health while providing a clinical perspective
• Support clinical solutions aimed at improving patient care, safety and health outcomes
• Leverage existing data and reporting sources as well as develop new analytics
• Identify, develop, implement, and evaluate the effectiveness of strategic initiatives
• Analyze policy/procedure/workflows on case management and utilization management for care redesign
• Analyze Total Cost of Care, Stars, Risk Adjustment, etc. data for opportunities and propose Strategic Action Items
• Work collaboratively with Medical Economics Unit, Analytics and Behavioral Change, Aetna Clinical Services and Medical Affairs' other departments
• Develop and improve Medicare reporting, such as in Tableau
• Lead and implement informatics communication efforts
• Maintain strong collaborative relationship with care management teams
• Active participation in meetings and communications

Medical Director – Senior Clinical Solution, Population Health

• Build analytic solutions and machine learning models (e.g. classification, ranking) to optimize Utilization Management in healthcare and translate business logic or healthcare workflow into data-driven decisions
• Develop data structures and processing pipelines to organize, collect, and standardize insights from both unstructured data (PDFs, texts, images) and structured data, to address both reporting needs and feature development
• Explore and build LLM-powered pipelines and evaluate performance based on real-world feedback
• Create and evaluates the data needs of assigned projects and assures the integrity of the data
• Explore existing data and recommends additional sources of data for improvements
• Document projects including business objectives, data gathering and processing, detailed set of results and analytical metrics

Data Scientist – Utilization Management

• Serve as a trusted strategic advisor to PCW and HCD Finance executive leaders, enabling informed decisions on talent, workforce effectiveness, and organizational design in support of evolving business and financial priorities.
• Build strong talent pipelines and succession readiness for critical Finance roles through effective selection, onboarding, development, internal mobility, and rigorous performance management, compensation, and recognition practices.
• Partner with PCW and HCD Finance leaders to design and evolve efficient and effective organization structures and operating models, translating business strategy into workforce plans that balance capability, capacity, productivity, and cost.
• Leverage workforce, organization, and talent insights to identify risks, inform strategy, and drive measurable improvements in engagement, retention, and performance within the PCW and HCD segments.
• Own the quality, rigor, and consistency of annual people processes across PCW and HCD Finance, including performance management, calibration, talent reviews, compensation planning, and promotion decisions.
• Partner across HR Centers of Excellence to integrate enterprise programs and solutions in support of PCW and HCD Finance priorities, ensuring alignment with enterprise standards while meeting segment needs.
• Partner across the Finance HR team to ensure alignment and consistency of talent practices across segments.
• Champion adoption of AI-enabled tools, digital capabilities, and Finance optimization efforts, supporting leaders and colleagues through change and fostering an adaptable, change-capable organization.

Lead Director, HR Business Partner – PCW/HCD Finance

• Subject Matter Expert (SME) with a background in Orthopedic Spine OR Neurosurgery
• Expands Aetna's medical management programs to address member needs across the continuum of care.
• Supports the Medical Management staff ensuring timely and consistent responses to members and providers.
• Leads all aspects of utilization review/quality assurance, directing case management
• Provides clinical expertise and business direction in support of medical management programs through participation in clinical team activities.
• Acts as lead business and clinical liaison to network providers and facilities.

Medical Director – Spine

• Serve as a liaison between members/clients, families, employers, providers, insurance carriers, and healthcare personnel as appropriate
• Implement and coordinate case management activities for catastrophic and chronically ill members across the continuum of care
• Interact with members/clients both telephonically and in person while working on‑site at either location
• Assess medical, functional, and vocational status to develop and implement individualized plans of care
• Communicate effectively with stakeholders including medical providers, attorneys, employers, and insurance carriers
• Prepare timely and accurate documentation of all case management activities
• Collaborate with internal multidisciplinary teams to support optimal member outcomes
• Conduct outreach to treating physicians and specialists to support appropriate care planning
• Provide education and preventive guidance to promote best clinical outcomes
• Monitor member progress toward desired outcomes and adjust care plans as needed
• Develop proactive strategies to address complex needs and support both short‑ and long‑term wellness outcomes

Case Manager, Registered Nurse – Field

Consultant

• Utilizes clinical experience and skills in a collaborative process to assess, plan, implement, coordinate, monitor and evaluate options to facilitate appropriate healthcare services/benefits for members
• Gathers clinical information and applies the appropriate clinical criteria/guideline, policy, procedure and clinical judgment to render coverage determination/recommendation along the continuum of care
• Communicates with providers and other parties to facilitate care/treatment
• Identifies members for referral opportunities to integrate with other products, services and/or programs
• Identifies opportunities to promote quality effectiveness of Healthcare Services and benefit utilization
• Consults and lends expertise to other internal and external constituents in the coordination and administration of the utilization/benefit management function.